Managed care, attitudes, and career choices of internal medicine residents.
The influence of managed care on internal medicine residents' attitudes and career choices has not yet been determined and could be substantial. In a survey of 1,390 third-year internal medicine residents, 21% believed that managed care was the best model of health care for the United States, and 31% stated they would be satisfied working in a managed care system. Those from high managed care communities (>30% penetration) were only slightly more accepting of managed care, but were more likely to choose general internal medicine as a career (54%, p = .0009) than those from communities with lower managed care penetration.
Nelson
H D
HD
Department of Medicine, Oregon Health Sciences University, Veterans Administration Medical Center, Portland 97201, USA.
Matthews
A M
AM
Patrizio
G R
GR
Cooney
T G
TG
D001291:Attitude of Health Personnel; D002321:Career Choice; D003153:Community Health Services; D003430:Cross-Sectional Studies; D006279:Health Maintenance Organizations; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008329:Managed Care Programs; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014481:United States; D000078329:Workforce